scholarly journals Intensive glycemic control in type 2 diabetics at high cardiovascular risk: do the benefits justify the risks?

2013 ◽  
Vol 83 (3) ◽  
pp. 346-348 ◽  
Author(s):  
Sabin Shurraw ◽  
Marcello Tonelli
Keyword(s):  
Cardiovascular Risk ◽  
Glycemic Control ◽  
High Cardiovascular Risk ◽  
Intensive Glycemic Control ◽  
Type 2 Diabetics

scholarly journals Adiponectin and cardiovascular risk factors in relation with glycemic control in type 2 diabetics

2013 ◽  
Vol 1 (4) ◽  
pp. 563 ◽  
Author(s):  
Aniebetabasi Obot ◽  
Chinyere Usoro ◽  
Augusta NsonwuAnyanwu ◽  
Edmund Egbe ◽  
John Ekott ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiovascular Risk ◽  
Glycemic Control ◽  
Cardiovascular Risk Factors ◽  
Type 2 Diabetics

scholarly journals Chronic kidney disease and intensive glycemic control increase cardiovascular risk in patients with type 2 diabetes

2015 ◽  
Vol 87 (3) ◽  
pp. 649-659 ◽  
Author(s):  
Vasilios Papademetriou ◽  
Laura Lovato ◽  
Michael Doumas ◽  
Eric Nylen ◽  
Amy Mottl ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Chronic Kidney Disease ◽  
Cardiovascular Risk ◽  
Kidney Disease ◽  
Glycemic Control ◽  
Intensive Glycemic Control

scholarly journals Insulin resistance limits corneal nerve regeneration in patients with Type 2 diabetes undergoing intensive glycemic control

2021 ◽  
Author(s):  
Georgios Ponirakis ◽  
Muhammad A. Abdul‐Ghani ◽  
Amin Jayyousi ◽  
Mahmoud A. Zirie ◽  
Salma Al‐Mohannadi ◽  
...  
Keyword(s):  
Insulin Resistance ◽  
Type 2 Diabetes ◽  
Glycemic Control ◽  
Nerve Regeneration ◽  
Intensive Glycemic Control ◽  
Corneal Nerve

scholarly journals Clinical profiles and quality of care of subjects with type 2 diabetes according to their cardiovascular risk: an observational, retrospective study

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Basilio Pintaudi ◽  
Alessia Scatena ◽  
Gabriella Piscitelli ◽  
Vera Frison ◽  
Salvatore Corrao ◽  
...  
Keyword(s):  
Risk Factors ◽  
Type 2 Diabetes ◽  
Quality Of Care ◽  
Cardiovascular Risk ◽  
High Risk ◽  
Cardiovascular Risk Factors ◽  
High Cardiovascular Risk ◽  
Very High

Abstract Background The European Society of Cardiology (ESC) recently defined cardiovascular risk classes for subjects with diabetes. Aim of this study was to explore the distribution of subjects with type 2 diabetes (T2D) by cardiovascular risk groups according to the ESC classification and to describe the quality indicators of care, with particular regard to cardiovascular risk factors. Methods The study is based on data extracted from electronic medical records of patients treated at the 258 Italian diabetes centers participating in the AMD Annals initiative. Patients with T2D were stratified by cardiovascular risk. General descriptive indicators, measures of intermediate outcomes, intensity/appropriateness of pharmacological treatment for diabetes and cardiovascular risk factors, presence of other complications and overall quality of care were evaluated. Results Overall, 473,740 subjects with type 2 diabetes (78.5% at very high cardiovascular risk, 20.9% at high risk and 0.6% at moderate risk) were evaluated. Among people with T2D at very high risk: 26.4% had retinopathy, 39.5% had albuminuria, 18.7% had a previous major cardiovascular event, 39.0% had organ damage, 89.1% had three or more risk factors. The use of DPP4-i markedly increased as cardiovascular risk increased. The prescription of secretagogues also increased and that of GLP1-RAs tended to increase. The use of SGLT2-i was still limited, and only slightly higher in subjects with very high cardiovascular risk. The overall quality of care, as summarized by the Q score, tended to be lower as the level of cardiovascular risk increased. Conclusions A large proportion of subjects with T2D is at high or very high risk. Glucose-lowering drug therapies seem not to be adequately used with respect to their potential advantages in terms of cardiovascular risk reduction. Several actions are necessary to improve the quality of care.

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